Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHEASTERN GASTROENTEROLOGY ASSOCIATES, PC

NPI: 1942211248 · HONESDALE, PA 18431 · Gastroenterology Physician · NPI assigned 08/11/2006

$698K
Total Medicaid Paid
16,157
Total Claims
15,422
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREYNOLDS, DAVID (PRESIDENT)
NPI Enumeration Date08/11/2006

Related Entities

Other providers sharing the same authorized official: REYNOLDS, DAVID

ProviderCityStateTotal Paid
MOUNTAIN LAUREL SURGERY CENTER, LLC HONESDALE PA $446K
MAPLE CITY ANESTHESIA LLC HONESDALE PA $68K
FIRST PODIATRY, PC EVANSVILLE IN $327.21

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 507 $649.15
2019 251 $103.58
2020 985 $46K
2021 4,500 $205K
2022 3,822 $171K
2023 3,994 $162K
2024 2,098 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,595 1,561 $204K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,476 4,370 $197K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,258 2,010 $124K
88342 1,381 1,322 $55K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 428 413 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,021 1,004 $29K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 76 76 $13K
88313 1,286 1,199 $12K
88312 571 551 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple 51 51 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 151 149 $7K
99244 Office or other outpatient consultation, moderate to high complexity 24 24 $3K
99243 37 37 $3K
G8783 Normal blood pressure reading documented, follow-up not required 198 194 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,177 2,044 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 277 270 $0.00
1036F 44 43 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 28 28 $0.00
3017F 34 33 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 44 43 $0.00